Home parenteral nutrition – its importance and use in clinical practice

Česká verzia

Authors: A. Fojtová; B. Norek; T. Zamborský; M. Bátovský
Authors place of work: Gastroenterologická klinika SZU a UN Bratislava, Slovenská republika
Published in the journal: Gastroent Hepatol 2015; 69(5): 449-452
Category: Chapters from internal medicine: Review Article
doi: https://doi.org/10.14735/amgh2015449

Summary

Home parenteral nutrition is an alternative pathway in patients with irreversible failure of intestinal functions, in whom enteral nutrition is either not possible or is insufficient in the long term, with growing energetic deficiency. The initiation of home parenteral nutrition improves patients’ quality of life and also the course of the disease, leading to an optimisation of clinical symptoms of malnutrition. The most common indications for the initiation of home parenteral nutrition include an extensive reduction of the absorption area after intestinal resection (in patients with surgical complications of Crohn’s disease, ischemic necrosis of the small intestine due to VMS thrombosis, embolism or closure of the AMS), functional failure of the gut from various causes and cases of cancer with sufficient utilisation of essential nutrients.

Key words:
home parenteral nutrition – malnutrition – intestinal failure – short bowel syndrome

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE „uniform requirements“ for biomedical papers.

Submitted:
2. 10. 2015

Accepted:
8. 10. 2015

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